PIKES PEAK HIGH RIDERS RECREATION CLUB

OF WOODLAND PARK

P.O. Box 98, Woodland Park, Co. 80863  

 

Print this form to submit for membership

DATE ___________________________________________________________________________________

LAST NAME ______________________________________________________________________________

FIRST NAME______________________________________________________________________________

SPOUSE and/or OTHER FAMILY MEMBERS __________________________________________________

ADDRESS:_______________________________________________________________________________

CITY:____________________________________________ STATE: _______  ZIP CODE:_______________

HOME PHONE:_______________________________ WORK PHONE:_______________________________

CELL OR MOBILE PHONE: _________________________________________________________________ EMAIL:______________________________________________________@___________________________

DUES (please check)

____ PPHR MEMBERSHIP ONLY ($18.00)

____ PPHR & CSA MEMBERSHIP ($40.00) CSA membership is required if not already a CSA member.  The club secretary will submit your application for CSA membership (preferred) or you may do it yourself on line at CSA web site.  (Membership includes insurance and Snow Scoop Magazine Subscription)
CLUB DECALS (OPTIONAL)

____ PPHR CLUB DECALS ($3.00 EACH)  Decals sized for your sleds (3x4")
____ PPHR CLUB DECALS ($20.00 EACH) Decals sized for your trailer (10x15")

Mail Completed Application with payment to:

Pike Peak High Riders                              Mary Doble, PPHR Secretary
P. O. Box 98                             OR            17355 Herring Road
Woodland Park, CO 80866                         Colorado Springs,  CO.  80908

________________________________________________________________________________________________________________

The following is the administration check list - Do not fill out

_____ Membership Files (Address)      _____ Email Group Updated             Dues Paid $ _______

_____ Membership Files (Phone)        _____ website (Members List)           Check # ______

_____ Membership Files (Email)         _____ CSA Membership Submitted

_____ Membership Files (Dues)           _____ Requested Decals Provided

 
 
 

Return to Membership Page 1 1